Medicaid Billing Specialist - SNF Billing Required!!!
Cantex Health Care Centers LLC

Job Info

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Job Description
Title: Medicaid Billing Specialist - SNF Billing Required!!!

Facility: Corporate Office

Zip: 75006

Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people.

Job Summary:

The Medicaid Billing Specialist has the responsibility for managing the accounts receivable, billing and collection related functions for multiple Skilled Nursing facilities in the state of Texas. Focus will be on the Medicaid revenue cycle in order to optimize revenue, improve cash flow and strengthen the company’s financial position. This position will be responsible for Medicaid claims and collections.

Job Requirements
Qualifications:

• A high school diploma is required, a college degree or equivalent advanced courses are preferred.
• Prior Medicaid skilled nursing facility billing experience required.
• Strong knowledge of billing software.
• Ability to multitask, meet deadlines and prioritize workload.
• Highly motivated, organized and detail oriented individual with good interpersonal and communication skills.
• Strong team player with willingness to help in other areas of billing.

Essential Functions:

• Processes monthly billing for Texas Medicaid SNF room & board services.
• Claims creation and working denials.
• ICD 10 understanding.
• Verifying Medicaid eligibility.
• Payment posting.
• Ability to access and interpret the MESAV for key data elements essential for billing.
• Understand 3618, 3619 and LTCMI form processing.
• Ensure billing is accurate, complete and in compliance with State and Federal regulations.
• Coordinate third party billing with nursing facility personnel as necessary.
• Communicates and works in cooperation with fiscal intermediaries, accountants, auditors, cost report preparers, state and federal agencies and private insurance companies.
• Monitors facility receivable balances and maintains receivable balances within acceptable limits, as well as, assists with collection of problem accounts.
• Understand billing software capabilities and lead efforts to enhance efficiencies.
• Understand software and regulatory requirements for transmitting claims to the various third party payers.
• Analyze and resolve technical questions regarding billing including transmission to payers, calculating claims, printing bills, resident accounts, etc.
• Ensure all required billing compliance and regulatory initiatives are met.
• Compiles and prepares data and reports as required.
• Strives to meet company DSO and collection goals every month.
• Ensures compliance with Cantex policies and procedures including Financial Management Systems.
• Performs other duties and tasks as assigned by the AR Manager, Director of Finance or CFO.

We are an Equal opportunity employer; We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package.

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